MedPath

Belapectin

Generic Name
Belapectin
Drug Type
Small Molecule
CAS Number
1980787-47-0
Unique Ingredient Identifier
K7ODU55HT6
Background

Belapectin is under investigation in clinical trial NCT02575404 (GR-MD-02 Plus Pembrolizumab in Melanoma, Non-small Cell Lung Cancer, and Squamous Cell Head and Neck Cancer Patients).

CDMO Market Report: Key Regulatory Approvals and Clinical Advances in March-April 2025

• Multiple CDMOs secured significant contract manufacturing opportunities as regulatory bodies approved new indications for established drugs, particularly in oncology and rare diseases. • AstraZeneca's portfolio saw substantial growth with expanded approvals for Imfinzi, Tagrisso, and Lynparza, strengthening partnerships with contract manufacturers including Lonza, Dottikon, and Samsung Biologics. • Contract manufacturers supporting treatments for autoimmune conditions showed strong performance, with Argenx's Vyvgart Hytrulo receiving expanded indications for myasthenia gravis and CIDP.

Liver Cirrhosis Clinical Trial Pipeline Gains Momentum

The liver cirrhosis treatment market is experiencing significant growth, driven by advancements in antiviral therapies and regenerative medicine. Over 30 companies are actively developing new treatments, with several promising therapies currently in clinical trials.

Hepatology Review: FDA Updates, Viral Hepatitis Research, and MASH Advancements in December 2024

• The FDA updated safety information for obeticholic acid (Ocaliva) regarding liver injury risk in primary biliary cholangitis (PBC) patients without cirrhosis. • Breakthrough Therapy designation was granted to tobevibart and elebsiran by the FDA and EMA for chronic hepatitis delta (CHD) treatment, based on Phase 2 SOLSTICE trial data. • Atea Pharmaceuticals reported positive Phase 2 results for bemnifosbuvir and ruzasvir in hepatitis C virus (HCV) treatment, achieving a 98% SVR12 rate. • Belapectin, from Galectin Therapeutics, in MASH cirrhosis and portal hypertension, did not meet its primary endpoint in the Phase 2b/3 NAVIGATE trial.

Belapectin Shows Significant Reduction in New Varices in U.S. MASH Cirrhosis Patients

• Belapectin demonstrates a statistically significant 68.1% reduction in the incidence of new varices compared to placebo in U.S. patients with MASH cirrhosis and portal hypertension. • The analysis comes from the NAVIGATE trial, focusing on per-protocol patients (completers) enrolled in the U.S., highlighting the drug's potential in this subgroup. • An estimated 3 million adults in the U.S. suffer from MASH cirrhosis with clinically significant portal hypertension, an area with no FDA-approved therapies. • Further analysis of the NAVIGATE trial, including data from patients completing 36 months of treatment, is expected by the end of Q1 2025.

Galectin Therapeutics' Belapectin Fails to Meet Primary Endpoint in MASH Cirrhosis Trial

• Galectin Therapeutics' NAVIGATE trial of belapectin in MASH cirrhosis patients with portal hypertension did not meet its primary endpoint of preventing varices. • While belapectin reduced varices incidence in the intent-to-treat population, the difference was not statistically significant compared to placebo. • In a per-protocol analysis, belapectin showed a 48.9% reduction in varices, but this fell short of the targeted 52.5%. • The safety profile of belapectin remains encouraging, with adverse events comparable to placebo; further analysis and 36-month outcomes are pending.

Cell Therapy and Targeted Therapies Dominate Oncology Advances in Early 2025

• The FDA issued a CRL for Atara Biotherapeutics' tabelecleucel due to third-party manufacturing issues, not efficacy or safety data, delaying potential approval for EBV+ PTLD. • EsoBiotec dosed the first patient in a trial for ESO-T01, an in vivo BCMA-directed CAR-T therapy for multiple myeloma, aiming for lower costs and simplified administration. • Obecabtagene autoleucel (obe-cel) gained FDA approval for relapsed/refractory B-cell precursor ALL, offering a less toxic CD19-directed CAR T-cell therapy option. • Arlocabtagene autoleucel (arlo-cel) shows promise in heavily pretreated relapsed/refractory multiple myeloma, eliciting a 48% complete response rate in phase 1 studies.
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